<%@ page language="java" contentType="text/html; charset=ISO-8859-1"
	pageEncoding="ISO-8859-1"%>
<%@taglib uri="/struts-tags" prefix="s"%>

<!DOCTYPE html PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN" "http://www.w3.org/TR/html4/loose.dtd">

<html>
<head>
<title> Register with Paisa Pay</title>
</head>
<body>
<%@ include file="../../header.jsp" %>
<s:form action="signup">

	<tr>
		<th><img src="images/paisapay_reg.png"></th>
	</tr>

	<div class="paisa_reg">
		</table>
		<table width="1000" border="0" bgcolor="#FFFFFF">
  <tr>
    <td width="232">&nbsp;</td>
    <td width="752"><s:textfield name="Payee" label="Payee Name" size="40" required="TRUE"></s:textfield></td>
  </tr>
  
  <tr>
    <td width="232">&nbsp;</td>
    <td width="752"><s:textfield name="Bank_acc_num" label="Bank Account Number" required="true" size="40"></s:textfield></td>
  </tr>
  <tr>
    <td>&nbsp;</td>
    <td>
			<s:doubleselect label="Bank Name (Branch Name) " name="bank_name" doubleHeaderValue="shikha" list="mapping.keySet()" labelposition="left" doubleName="branch" doubleList="mapping.get(top)" /></td>
  </tr>
  <tr>
    <td>&nbsp;</td>
    <td><s:textfield name="city" label="City" required="true" size="40"></s:textfield></td>
  </tr>
</table>
	<th align="left"><input type="submit" value="Submit"
				align="absmiddle" /></th>
		</tr>
	</div>
	</table>


</s:form>
</body>
</html>